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SMART STROKES 2019 Workshops

NVRN Rapid Review and Certification Examination

Date: Wednesday 7 August
Time: 08.00-17.00 hrs
Location: Vintage Room at Crowne Plaza

 Join your colleagues in taking the premier acute stroke nursing education course, followed by the NVRN certification examination at SmartStrokes 2019! Achievement of NVRN certification demonstrates acute stroke nursing expertise. Join the ranks of Australia's NVRN certified nurses who have proudly earned this credential. this is being offered at a huge discount of US$125 (approx. Aus $175) per candidate.

For more information and to register for the course, please go to http://www.anvc.org 

* Registrations are taken directly through their site. 

 

 

Effect of enriched environments on increasing physical, cognitive and social activity after stroke 


Presenters:
David Clarke, Heidi Janssen, Ingrid Rosbergen
Date:
Thursday 8 August- Concurrent Session 2, Stream 1 
Time: 
1245-1415 hrs

There is increasing interest in the use of environmental enrichment in acute and rehabilitation stroke services. Studies have been conducted in Australia and the United Kingdom (UK) to determine whether the approach is effective in increasing post-stroke activity levels (physical, social and cognitive). These studies have used different approaches to introduce and evaluate environmental enrichment and have involved  stroke service staff, stroke survivors and family members in different ways, including participatory co-design methods. This interactive multidisciplinary workshop will provide an overview of the evidence supporting environmental enrichment, briefly outline three different approaches used in acute and rehabilitation settings and then work with participants to explore how these approaches could be utilised in Australian stroke services. Interactive work will include exploration of anticipated benefits and challenges to developing, implementing and sustaining environmental enrichment approaches and will link these back to the findings and learning from the research conducted in stroke services in Australia and the UK.

 

 

 

Back to the Essentials - Acute Stroke Nurses Education Network session

Presenters: Skye Coote, Brett Jones, Sheila Jala, Tanya Frost & Meaghan Osbourne 
Date:
Thursday 8 August- Concurrent Session 2, Stream 2
Time1245-1415 hrs

 

 

Presentation

Duration

Presenter

Email address

Reducing Door to Needle and overcoming ED barriers to acute stroke care

30 mins

Skye Coote

skye.coote@mh.org.au

Stroke Imaging Using CT and MRI

30 mins

Brett Jones

Brett.jones@act.gov.au

Case Studies

Detection of Early Deterioration using the NIHSS

Mouth Matters

The Basics aren’t boring

 

10 mins

10 mins

10 mins

 

Sheila Jala

 Tanya Frost

 Meaghan Osbourne

 

 

Sheila.jala@health.nsw.gov.au

 Tanya.frost@easternhealth.org.au

 Meaghan.Osborne@health.qld.gov.au

 

 

 

A practical guide on how to implement team-wide cognitive and mood assessment and intervention into stroke rehabilitation 

Presenter: Rene Stolwyk & Ms Chelsea Nevin
Date:
Thursday 8 August- Concurrent Session 2, Stream 3
Time: 
1245-1415 hrs

 

Workshop learning objectives:

  • To understand Stroke Foundation cognition and mood clinical guidelines
  • To understand a stepped-care approach to psychological management following stroke
  • To identify appropriate screening tools to detect stroke-related cognitive and mood dysfunction
  • To create and monitor interdisciplinary SMART goals for cognition and mood post stroke.   
  • To apply the above principles of psychological management to attendees’ own clinical settings

In this interactive workshop, attendees will first be introduced to key principles of psychological management post-stroke, including stepped-care approaches to assessment and intervention. There will be a particular focus on patient-centred interdisciplinary work. These principles will be applied through a series of group-based activities, including clinical vignettes and case examples from attendees’ own clinical services.

 

Understanding statistics and interpreting data reports using examples from national registry and audit programs in stroke

Presenters: Dr Monique Kilkenny & Tara Purvis
Date:
Thursday 8 August- Concurrent Session 2, Stream 4
Time: 
1245-1415 hrs

Come and learn to understand the basics of statistics (“numbers used to describe data”) and how to interpret (“easily understand”) data. Example reports and publications will be used from the Australian Stroke Clinical Registry and National Stroke Audit programs. This workshop is aimed at clinicians with an interest using data for stroke. It will include lecture notes, didactic teaching, group activities and plenty of time for you to ask your burning statistical or data questions.

 

 

 

‘How to’ implement constraint-induced movement therapy and improve arm function after stroke: A workshop to change clinical practice using the ACTIveARM model of implementation.

Presenter: Lauren Christie, Annie McCluskey, Meryl Lovarini, Nicola Acworth
Date: Friday 9 August- Concurrent Session 4, Stream 4
Time: 12:45- 13:30

 

Background: Constraint-induced movement therapy (CIMT) is recommended in Australian stroke guidelines as an evidence-based therapy for arm recovery yet national audits show that only 12% of eligible stroke survivors receive CIMT.  Barriers to CIMT delivery include limited knowledge, skills and confidence and equipment.

 

Our team has investigated implementation and sustainability of CIMT internationally using online survey methods and semi-structured interviews. Locally, we have assisted nine health services to change their practice and implement CIMT using the ACTIveARM behavior change package (a 2-day training workshop, 3-monthly audit and feedback, mentoring and coaching). The proportion of eligible patients offered CIMT rose from 2% at baseline to 78% over 18 months, and up to 48% of eligible patients received a CIMT program. During this workshop, we will present outcome data from >70 stroke survivors who improved their arm function following a CIMT program. Costs were collected for the ACTIveARM package, and therapist time to deliver CIMT in groups vs 1:1. The ACTIveARM implementation package cost $31,370. Therapists spent 59 hours on average delivering a CIMT program (range 12.5 to 159.5 hours). The incremental cost-effectiveness ratio was $37 for group CIMT and $55 for 1:1 CIMT for one point of improvement on the Action Research Arm Test,

Workshops aims: By the end of this workshop, participants will be able to:  

  • Identify patients/clients that are suitable for CIMT
  • Name and describe the key components of CIMT
    • Identify necessary resources for delivering CIMT with fidelity, including staff, space and equipment
    • Name common barriers (and enablers) to CIMT implementation and generate solutions to enable CIMT delivery
    • Administer and score outcome measures that are commonly used in CIMT programs
    • Identify the components of an effective multimodal implementation package to overcome barriers to CIMT delivery
    • Gain awareness of the cost effectiveness of CIMT programs

 

Methods: Lectures with handouts including research data from an international online survey, semi-structured interviews, audit and feedback. Use of photos and videos to demonstrate/model CIMT tasks, shaping and coaching. Practical activities include administration of the Motor Activity Log, practice of timed trials (shaping) with feedback, time to discuss local barriers and enablers, and strategies to address these barriers.

Discussion: This workshop will enable clinicians to plan and deliver an evidence-based therapy that can improve arm function after stroke.